NPIMap

Organization Active NPI

T Douglas Gurley MD LLC

  • Infectious Disease Physician
  • Atlanta, GA
National Provider Identifier
1245340835
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
041817 Issued in GA
Legal business name
T DOUGLAS GURLEY MD LLC
Practice address
659 Auburn Ave NE
Suite 156
Atlanta, GA 30312-5412
Phone
(404) 888-0228
Fax
(404) 888-0552
NPI assigned
Aug 30, 2006
Last updated
Mar 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Thomas Douglas Gurley Jr., MD
Title
Owner
Phone
(404) 888-0228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 041817 GA Primary

Addresses

Primary practice location

659 Auburn Ave NE
Suite 156
Atlanta, GA 30312-5412

Mailing address

659 Auburn Ave NE
Suite 156
Atlanta, GA 30312-5412
Phone (404) 888-0228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040715000917 GA Part B Supplier - Clinic/Group Practice 8022097831 Receives reassigned benefits from 13 practitioners
Practice locations: Atlanta, GA

National Provider Directory

National Provider Directory

Locations

659 Auburn Ave NE
Ste 156
Atlanta, GA 30312
Phone (404) 888-0228

957 W Marietta St NW
Ste C
Atlanta, GA 30318
Phone (404) 888-0228

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583107200000",
    "number": "1245340835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 AUBURN AVE NE",
            "address_2": "SUITE 156",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303125412",
            "telephone_number": "404-888-0228",
            "fax_number": "404-888-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "659 AUBURN AVE NE",
            "address_2": "SUITE 156",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303125412",
            "telephone_number": "404-888-0228",
            "fax_number": "404-888-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T DOUGLAS GURLEY MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A",
        "authorized_official_last_name": "GURLEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-888-0228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "GA",
            "license": "041817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.